<h1 class="title">Editar local de entrega:</h1>
<form enctype="multipart/form-data" action="<?php echo $this->url(array('action'=>'edit')); ?>" method="post">
	<div class="hide"><input type="hidden" name="delivery_place_id" id="delivery_place_id" value="<?php echo $this->escape($this->edit->delivery_place_id); ?>" /></div>
	<div class="clear">
		<div class="span-2 append-bottom"><label for="name">Nome:</label></div>
		<input type="text" name="name" tabindex="1" class="span-6 last append-bottom" value="<?php echo $this->escape($this->edit->name); ?>" />
	</div>
	<div class="clear">
		<div class="span-2 append-bottom"><label for="email">Extra:</label></div>
		<input type="text" name="extra" tabindex="2" class="span-2 append-bottom last" value="<?php echo $this->escape($this->edit->extra); ?>" /> km
	</div>
	<div class="clear"><input type="submit" name="edit" tabindex="3" value="Editar" /></div>
</form>